NPI | 1891732103 |
---|---|
Professional Name | SUPORIOR R HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1063773) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1063773) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2015-01-08 |