| NPI | 1770921082 |
|---|---|
| Former Name | MICHELE HARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 195882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006249) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2016-01-04 |