| NPI | 1427038587 |
|---|---|
| Former Name | DEREN HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 4542) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104361) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2021-05-12 |