NPI | 1245076090 |
---|---|
Former Name | MORGAN FAITH WATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 200098) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND 200098) |
Enumeration Date | 2024-07-02 |
Last Update Date | 2024-08-20 |