| NPI | 1982696811 |
|---|---|
| Former Name | MEGAN ELIZABETH GOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 3756) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 3756) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2014-05-22 |