NPI | 1073172904 |
---|---|
Other Name | MELISSA FRANCES HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011938) |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-08-06 |