NPI | 1215694872 |
---|---|
Former Name | MORGAN LYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024814) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN535868) |
Enumeration Date | 2021-11-18 |
Last Update Date | 2021-12-01 |