NPI | 1831351436 |
---|---|
Former Name | NATASHA F HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101270428) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT193776) |
207QS0010X Family Medicine, Sports Medicine (Licence: WV 25009) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2023-10-30 |