NPI | 1619369402 |
---|---|
Former Name | KATHERINE MICHELLE MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004175) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2025-01-31 |