| NPI | 1558332932 | 
|---|---|
| Former Name | JOAN M GO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 01012400051)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 41667)  | 
| Enumeration Date | 2006-02-01 | 
| Last Update Date | 2009-06-25 |