NPI | 1609361872 |
---|---|
Former Name | FAYTH-AN HOPE GOLDSBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0086086) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0086086) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2018-06-28 |