| NPI | 1760852479 |
|---|---|
| Former Name | JANE LOUISE GOFFINET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: UT 220448-3102) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |