| NPI | 1790063246 |
|---|---|
| Former Name | ALYSON BLYTHE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9265545) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704346884) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-04-01 |