NPI | 1366488892 |
---|---|
Former Name | MICHELLE A. HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081584) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME R032905) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-04-10 |