NPI | 1811386071 |
---|---|
Other Name | MORGAN WALGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 8749) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1880) |
363AM0700X Physician Assistant, Medical (Licence: IA 076265) | |
363AM0700X Physician Assistant, Medical (Licence: NE 1880) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2020-06-10 |