| NPI | 1386421709 |
|---|---|
| Former Name | MORGAN DEE NETTLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95027118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95154597) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |