| NPI | 1922403914 |
|---|---|
| Former Name | SUSAN C GOINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DE LG-0000813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0039135) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000813) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2017-05-31 |