| NPI | 1699443481 |
|---|---|
| Former Name | HEATHER HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01074900) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2025-02-12 |