NPI | 1376050617 |
---|---|
Former Name | JASMINE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342508) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 695962) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2023-06-29 |