Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 298619 | NC |
NPI | 1619635158 |
---|---|
Provider Name | Dr. Golda H Ngwem |
First Address | Dallas, NC 28034-0467 |
Second Address | Gastonia, NC 28054-2140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2021 |
Last Update Date | 01/12/2021 |