NPI | 1285874230 |
---|---|
Former Name | MORGAN VANESSA ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14065) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 14065) |
Enumeration Date | 2009-03-04 |
Last Update Date | 2014-04-09 |