| NPI | 1578533485 |
|---|---|
| Former Name | MARLA E GOLDSMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-004700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-184133-6) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-05-19 |