NPI | 1467005215 |
---|---|
Former Name | KIM HARRISON, ROLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX AP140693) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140693) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2021-01-26 |