| NPI | 1417908518 |
|---|---|
| Former Name | CYNTHIA ANN GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP008018) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008018) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-03-18 |