NPI | 1669567251 |
---|---|
Former Name | CORINNA LYNN MORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA12384) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA12384) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-07-27 |