NPI | 1699015479 |
---|---|
Former Name | MORGAN ASHLEY CANTWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004935) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277799) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2019-07-31 |