| NPI | 1518453331 |
|---|---|
| Former Name | KALEY GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9324622) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL 9324622) |
| 363L00000X Nurse Practitioner (Licence: FL 9324622) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2020-12-10 |