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 |