| NPI | 1780113670 |
|---|---|
| Former Name | JAIME PATRICIA MORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-161260) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-161260) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-11-16 |