| NPI | 1699330670 |
|---|---|
| Former Name | BRANDY NICHOLE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 246600) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-02-02 |