NPI | 1881667533 |
---|---|
Former Name | MONICA MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7879) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-00859) |
363A00000X Physician Assistant (Licence: WA PA60317852) | |
Enumeration Date | 2006-02-10 |
Last Update Date | 2020-06-05 |