NPI | 1740520907 |
---|---|
Former Name | ROBIN LYNN GOODWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 31699) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015774) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN218627) | |
Enumeration Date | 2013-02-26 |
Last Update Date | 2024-12-04 |