| NPI | 1932461225 |
|---|---|
| Former Name | MAGAN MICHELLE GOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN APN0000014885) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-07-24 |