| NPI | 1598762163 |
|---|---|
| Former Name | KATHY ANN GOODWIN AND MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA - 01058) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0073935) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2010-02-23 |