NPI | 1598343907 |
---|---|
Former Name | SHELBY MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01090843A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11021665A) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-09-04 |