| NPI | 1851627129 |
|---|---|
| Former Name | AMY MARIE GOODRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT021163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102206211) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OT021163) | |
| 208M00000X Hospitalist (Licence: VA 0102206211) | |
| 363A00000X Physician Assistant (Licence: VA 0110003527) | |
| 363A00000X Physician Assistant (Licence: PA MA054044) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2024-06-18 |