| NPI | 1952865271 |
|---|---|
| Former Name | MEGAN ELAINE GOODING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11148) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-07-16 |