NPI | 1700220977 |
---|---|
Former Name | LISA KATHERINE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 88533) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 311482) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 31627) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 63769) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-18 |
Last Update Date | 2023-05-25 |