| NPI | 1104301910 |
|---|---|
| Former Name | KACEE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704248866) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-12-14 |