| NPI | 1114329513 |
|---|---|
| Former Name | MORGAN DESANTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057129) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057129) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2021-03-18 |