NPI | 1922435858 |
---|---|
Former Name | LAURA SUZANNE GOBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124508) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124508) |
Enumeration Date | 2013-10-10 |
Last Update Date | 2025-01-09 |