Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | R45477 | TX |
NPI | 1023238151 |
---|---|
Provider Name | Ms. Rowena Maureen Goldman |
First Address | Dallas, TX 75231-4534 |
Second Address | Dallas, TX 75231-4534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 08/07/2007 |