NPI | 1679718415 |
---|---|
Former Name | KELLY M MORRISSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR0052504) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015265) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2020-09-09 |