NPI | 1528688264 |
---|---|
Former Name | MCKENNA KELLY MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 9428379-4405) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 9428379-3102) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2022-02-11 |