NPI | 1831518570 |
---|---|
Former Name | JESSICA MELISSA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A139810) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2024-08-09 |