| NPI | 1942789110 |
|---|---|
| Former Name | ALICIA DIANE MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61936) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 34476) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-04-09 |