| NPI | 1366801938 |
|---|---|
| Former Name | AMBER JOY GODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2016004352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014025533) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MO 2016004352) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2020-05-15 |