| NPI | 1508222993 |
|---|---|
| Former Name | ROSETTA GOODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN171233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F1015699) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-08-25 |