| NPI | 1710528914 |
|---|---|
| Former Name | CRYSTAL CHE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61005850) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61005850) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-09-20 |