| NPI | 1952752552 |
|---|---|
| Former Name | MORGAN RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MO 2016010647) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01884) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-04-08 |