| NPI | 1619489010 |
|---|---|
| Former Name | JACQUELINE HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 85792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 85792) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-08-30 |