| NPI | 1245617372 |
|---|---|
| Former Name | ALESE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-00447) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 210682) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-07-18 |