| 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 |