NPI | 1902020951 |
---|---|
Former Name | DARA LEE MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004526) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00070695) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2017-09-26 |