| NPI | 1063611135 |
|---|---|
| Former Name | MORGAN JOY VANBUREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 011917) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053458) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-04-27 |