NPI | 1194222018 |
---|---|
Former Name | MORGAN MARIE BALE MURRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 10137) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 10137) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-08 |
Last Update Date | 2023-01-03 |