NPI | 1518992809 |
---|---|
Former Name | JANICE MARIE GOHEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209004168) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 41207767) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2017-04-24 |