NPI | 1679381966 |
---|---|
Former Name | AVALON KAREN GOLDWASSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038028) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL RN9515506) |
Enumeration Date | 2024-12-19 |
Last Update Date | 2025-03-13 |