NPI | 1043576994 |
---|---|
Former Name | ANA TRACEY HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 17470) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R9433) |
208000000X Pediatrics (Licence: IA MD 42418) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-42418) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036153593) | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2021-09-02 |