NPI | 1104569433 |
---|---|
Former Name | MICHELE LEIGH MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15684) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-07-22 |