NPI | 1164593174 |
---|---|
Former Name | JULIANNE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101058026) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101058026) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-08 |