| NPI | 1538204805 |
|---|---|
| Former Name | ALYCE GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002685) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 1088268) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-06-04 |