NPI | 1124557566 |
---|---|
Other Name | LARUA MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 15589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL14625) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |