NPI | 1831640176 |
---|---|
Former Name | LORI RENEE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020019) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.020019) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2020-09-28 |