NPI | 1629845706 |
---|---|
Former Name | LAURA A GOODRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0998946-NP) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0998946-NP) |
Enumeration Date | 2023-12-07 |
Last Update Date | 2024-10-15 |