NPI | 1386892289 |
---|---|
Former Name | CATHY LEE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104685) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA837) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2020-12-05 |