NPI | 1073285557 |
---|---|
Former Name | MORGAN MAKENZIE DASHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30213) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 247692) |
Enumeration Date | 2021-10-02 |
Last Update Date | 2024-07-15 |