| NPI | 1750779872 |
|---|---|
| Former Name | MARCIA PETERSON HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN787411) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2019-10-28 |