NPI | 1336724376 |
---|---|
Other Name | NELLIE SUE GOODIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015919) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP70000763) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2025-10-07 |