| NPI | 1265804488 |
|---|---|
| Former Name | MORGAN NICOLE PROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704293688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704293688) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2016-09-24 |