NPI | 1861008336 |
---|---|
Former Name | MORGAN JOAN PACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4157) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-09-21 |
Last Update Date | 2023-04-03 |