| NPI | 1073983466 |
|---|---|
| Former Name | MORGAN MONTEZ FIACCATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704272573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4704272573) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-03-14 |