NPI | 1629041355 |
---|---|
Other Name | SHIRLEY LAVON KNOWLES HARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN056220) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN056220) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2021-06-24 |