| NPI | 1447702485 |
|---|---|
| Former Name | CAROL L GODT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201608016NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608016NP-PP) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 201608016NP-PP) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-09-23 |