NPI | 1982751848 |
---|---|
Former Name | CARRIE INGRAM MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 22092) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093662) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-07-28 |