NPI | 1366016719 |
---|---|
Former Name | MORGAN LEIGH WENGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V0011) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: SC LL83585) | |
Enumeration Date | 2021-05-19 |
Last Update Date | 2024-05-03 |