| NPI | 1659889798 |
|---|---|
| Former Name | NATASHA MARIE GOETTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R39157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2461604) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-01-03 |