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 |