| NPI | 1063821908 |
|---|---|
| Former Name | MORGAN RENFRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 2519) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 2519) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-11-10 |