NPI | 1154059830 |
---|---|
Former Name | SUMMER ANN MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21777) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 639490) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 4447) | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-08-10 |