| NPI | 1164441671 | 
|---|---|
| Former Name | BEVERLY JOAN MORGAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002895A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 4330) | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2022-03-18 |