| NPI | 1700136439 |
|---|---|
| Former Name | COURTNEY GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 6578) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207P00000X Emergency Medicine (Licence: GA 6578) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2023-02-15 |