NPI | 1134514953 |
---|---|
Former Name | ASHLEY MARINA MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.129811) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35129811) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-02-15 |