| NPI | 1780291401 |
|---|---|
| Former Name | CARLIE A HARMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704321194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10531-33) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2021-07-20 |