| NPI | 1659313336 |
|---|---|
| Former Name | MINDI LYN MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004770) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104369) |
| 363AM0700X Physician Assistant, Medical (Licence: CT 001618) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-02-18 |