| NPI | 1184076333 |
|---|---|
| Former Name | ELIZABETH ANN HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA066645) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA53846) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-09-05 |