NPI | 1063138097 |
---|---|
Former Name | DEVAN LAYNE HARRIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022364) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9452375) |
Enumeration Date | 2022-10-12 |
Last Update Date | 2023-03-03 |