NPI | 1053327247 |
---|---|
Former Name | KATHLEEN MARIE HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F-334027-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F334027-1) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2022-07-21 |