| NPI | 1922482603 |
|---|---|
| Former Name | REBECCA GOEKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2015023454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 76882) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-10-01 |