NPI | 1760966139 |
---|---|
Former Name | MICHELLE LEA GOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60892325) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2024-06-06 |