NPI | 1609163419 |
---|---|
Former Name | ELIZABETH ANN GOORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004179A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN IN02004179A) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2023-12-18 |