| NPI | 1740578723 |
|---|---|
| Former Name | KATY MARIE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 97) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 153054-0) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2020-12-11 |