| NPI | 1902232879 |
|---|---|
| Former Name | ANGELA GOODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60410240) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60235945) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2018-01-17 |