NPI | 1881096568 |
---|---|
Former Name | ERIN D HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8060) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60507682) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2022-02-03 |