NPI | 1790355774 |
---|---|
Former Name | JOHANA MARIE MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2351951) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001271688) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2021-06-30 |