NPI | 1164994968 |
---|---|
Former Name | QUINTELLA MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22462) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22462) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22462) | |
Enumeration Date | 2018-12-19 |
Last Update Date | 2023-09-21 |