| NPI | 1811343148 |
|---|---|
| Former Name | CARMEN HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32630) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: TN 2817) |
| 133V00000X Dietitian, Registered (Licence: TN 2817) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-06-22 |