NPI | 1124263843 |
---|---|
Former Name | AUDRA L HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD040129) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A98726) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2013-02-25 |