| NPI | 1659849420 |
|---|---|
| Former Name | DEIRDRENEY ANDRIA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012530) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 97710) |
| 363L00000X Nurse Practitioner (Licence: AZ 219768) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-06-08 |