NPI | 1043044019 |
---|---|
Former Name | MORGAN JEANNE RICKETTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP1598350) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61598350) |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-12-04 |