NPI | 1306532635 |
---|---|
Former Name | MORGAN WILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033641) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0033641) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-28 |