NPI | 1598284358 |
---|---|
Former Name | STEPHANIE SUE MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 72210) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OK 72210) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 72210) | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2019-03-14 |