NPI | 1295115954 |
---|---|
Former Name | BROOKE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17514-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.326755) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2024-07-19 |