Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP022509 | PA |
NPI | 1043816689 |
---|---|
Provider Name | Rachel Melissa Goldstein |
First Address | Rydal, PA 19046-3340 |
Second Address | Bryn Mawr, PA 19010-2502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2020 |
Last Update Date | 10/12/2020 |