NPI | 1861465106 |
---|---|
Former Name | MARY A MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP006657B) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP006657B) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2021-01-12 |