NPI | 1831740158 |
---|---|
Professional Name | DANA SUE GOULETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004912) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004912) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004912) | |
Enumeration Date | 2019-09-27 |
Last Update Date | 2024-07-09 |