NPI | 1205377231 |
---|---|
Former Name | MORGAN CLOTHILDE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2292907) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2292907) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2025-09-03 |