Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1300X | Human Factors | ||
Y | 225XH1300X | Human Factors |
NPI | 1407349194 |
---|---|
Provider Name | Iftu Eliza Morrell |
First Address | Salt Lake City, UT 84111-1700 |
Second Address | Salt Lake City, UT 84111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 07/06/2018 |