| NPI | 1225859267 |
|---|---|
| Former Name | KEELY HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11046730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15184000) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2026-06-22 |