| NPI | 1699244830 |
|---|---|
| Former Name | AMY LORRAINE GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139666) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-05-06 |