| NPI | 1609517663 |
|---|---|
| Former Name | MORGAN MARIE BUWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125079595) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-09-12 |