NPI | 1275082307 |
---|---|
Former Name | MORGAN E BONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058689) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003924) |
363A00000X Physician Assistant (Licence: PA MA058589) | |
363A00000X Physician Assistant (Licence: NJ 25MP00461200) | |
363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00461200) | |
Enumeration Date | 2016-09-30 |
Last Update Date | 2022-06-02 |