NPI | 1194484154 |
---|---|
Former Name | KELLI MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183700000X Pharmacy Technician |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 005104) |
Enumeration Date | 2021-12-16 |
Last Update Date | 2021-12-16 |