NPI | 1104035526 |
---|---|
Former Name | AMBER MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC MD35398) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01577) |
207V00000X Obstetrics & Gynecology (Licence: IN 01063765A) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-05-16 |