NPI | 1154614402 |
---|---|
Former Name | CHRISTINE LEE HRRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60391124) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60225326) |
207Q00000X Family Medicine (Licence: CO DR.0054063) | |
Enumeration Date | 2011-05-19 |
Last Update Date | 2016-12-05 |