NPI | 1053850040 |
---|---|
Former Name | CHRISTINA ADELE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61104074) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA N261111233) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61104074) | |
363LF0000X Nurse Practitioner, Family (Licence: KS 77577) | |
Enumeration Date | 2017-02-23 |
Last Update Date | 2021-05-20 |