NPI | 1821550609 |
---|---|
Former Name | STEPHANIE RAE MORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD485561) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A177273) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2024-10-30 |