| NPI | 1255373007 |
|---|---|
| Former Name | SUSAN L HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0059860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 705243) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-09-29 |