NPI | 1821278961 |
---|---|
Former Name | JEANNIE MARIE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 58333) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 14041-NP) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2024-04-03 |