NPI | 1669660726 |
---|---|
Former Name | JAMIE A GOODIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60196364) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD038627) |
207P00000X Emergency Medicine (Licence: CA A104934) | |
207P00000X Emergency Medicine (Licence: MD D70458) | |
Enumeration Date | 2007-10-12 |
Last Update Date | 2023-10-04 |