NPI | 1396376620 |
---|---|
Other Name | JILL D GOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 040280-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH pending) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 040280-21) | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2021-10-06 |