| NPI | 1942221585 |
|---|---|
| Former Name | MEGGAN MICHELLE GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2021041128) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04904) |
| 363A00000X Physician Assistant (Licence: IL 085009473) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-02-08 |