NPI | 1497794655 |
---|---|
Former Name | MAISA K MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c170211) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 377563-1205) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-02-13 |