NPI | 1588877609 |
---|---|
Former Name | MARIA E GOEDTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166825) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001146363) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-06-03 |