| NPI | 1023470689 |
|---|---|
| Other Name | SHAUNTAVIA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008341) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-12-22 |