NPI | 1366906109 |
---|---|
Former Name | SARAH CONSTANCE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010287) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95010287) |
Enumeration Date | 2019-01-25 |
Last Update Date | 2024-08-22 |