NPI | 1770340077 |
---|---|
Former Name | SHEILA M GOINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008909RX) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-10-03 |