| NPI | 1720190564 |
|---|---|
| Former Name | SANDRA JILL HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 002046) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT E50601) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |