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 |