NPI | 1336906700 |
---|---|
Former Name | MEGAN ALISSA MORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61511274) |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |