NPI | 1376912303 |
---|---|
Other Name | VICTORIA GOODRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339892) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015561) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP015561) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2018-05-07 |