NPI | 1366477630 |
---|---|
Former Name | CARA MONETTE MORGAN-DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 68833) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 023787) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2016-12-18 |