NPI | 1831648443 |
---|---|
Former Name | MORGANN DIXON HARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8150) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7123) |
208600000X Surgery (Licence: GA 8150) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2024-07-30 |