NPI | 1023341393 |
---|---|
Former Name | MEGAN T MORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10664) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1329) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2020-08-24 |