NPI | 1316366099 |
---|---|
Former Name | JENNIFER LYNNE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 131285) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 131285) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2019-07-15 |