| NPI | 1114797966 |
|---|---|
| Former Name | HANNA RAE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-05-12 |