NPI | 1316347420 |
---|---|
Former Name | MICHELLE CATHERINE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930144) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN162) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2022-02-01 |