| NPI | 1740616192 |
|---|---|
| Former Name | ALYSE C HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008308) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-12-09 |