| NPI | 1538801642 |
|---|---|
| Former Name | AMBER LYNN GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024183882) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024183882) |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2023-05-31 |