| NPI | 1164031720 |
|---|---|
| Former Name | MORGAN TAYLOR LOCKLEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 001010310) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: NC 001007692) | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-08-17 |