NPI | 1356662019 |
---|---|
Former Name | JANELLE YOLAND GOODEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME115655) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 115655) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2022-03-08 |