NPI | 1417007642 |
---|---|
Former Name | SUSAN EVELYN MORSEY HEFFLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059357) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 40967) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2023-10-18 |