NPI | 1972929404 |
---|---|
Former Name | KATHERINE ROSE GOEHRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002763) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 840984) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2020-09-21 |