| 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 |