NPI | 1487220042 |
---|---|
Former Name | MORGAN R PHILLIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11045) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11045-33) |
163W00000X Registered Nurse (Licence: WI 232618) | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2023-07-18 |