| NPI | 1649543042 |
|---|---|
| Former Name | TRACI L GOODELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041336983) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2021-06-29 |