| NPI | 1417460635 |
|---|---|
| Former Name | GLENDA FAYE GOBLE, MOORE, NORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 1225) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |