| NPI | 1124527668 |
|---|---|
| Former Name | TABITHA MORGAN LISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60826545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-132844-071) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-02-11 |