| NPI | 1578851325 |
|---|---|
| Former Name | TANDALAYA M HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R869243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R869243) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-08-10 |