| NPI | 1437638236 |
|---|---|
| Former Name | KENDRA E GOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343459) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-09-29 |