| NPI | 1477562601 |
|---|---|
| Former Name | RENEE HOPE GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 3186252) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30005908) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-01-05 |