NPI | 1598344079 |
---|---|
Former Name | MORGAN ELISE RULLMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-81703-051) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 221282) |
Enumeration Date | 2021-04-03 |
Last Update Date | 2022-12-15 |