NPI | 1891981700 |
---|---|
Former Name | SARAH K GOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4576) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 2428) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2021-01-20 |