NPI | 1700350584 |
---|---|
Former Name | MOLLY BEA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 221051) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 4908452-4405) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 49084528900) | |
Enumeration Date | 2019-01-15 |
Last Update Date | 2025-09-27 |