NPI | 1962753343 |
---|---|
Former Name | HALEY A MCGOLDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8306) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60220812) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2018-06-27 |