NPI | 1700350584 |
---|---|
Former Name | MOLLY BEA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 221051) |
Enumeration Date | 2019-01-15 |
Last Update Date | 2024-04-15 |