NPI | 1629417282 |
---|---|
Former Name | AMANDA MARIE GOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102205886) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1336) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2022-03-28 |