NPI | 1598324741 |
---|---|
Former Name | HALEY ELIZABETH GOODELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12888) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA12888) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2023-12-08 |