NPI | 1518982420 |
---|---|
Former Name | GEORGANN HEDY GOSNELL HOUBEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 21262) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-08-19 |