| NPI | 1508531088 |
|---|---|
| Former Name | KIVA DA-SHAN BAUSWELL-HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704291746) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-05-04 |