NPI | 1902153505 |
---|---|
Former Name | JESSICA MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 757101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 757101) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2022-02-19 |