NPI | 1710341201 |
---|---|
Former Name | CHELSEA IRENE GOODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282910) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704253369) |
163W00000X Registered Nurse (Licence: GA RN282910) | |
363L00000X Nurse Practitioner (Licence: MI 4704253369) | |
Enumeration Date | 2016-04-11 |
Last Update Date | 2019-05-08 |