| NPI | 1518982420 |
|---|---|
| Former Name | GEORGANN HEDY GOSNELL HOUBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21262) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 171730) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-07 |