NPI | 1659741312 |
---|---|
Former Name | MORGAN ECHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005606) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085005606) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2023-04-18 |