NPI | 1902310642 |
---|---|
Former Name | JULIE A HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25599) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25599) |
Enumeration Date | 2017-11-16 |
Last Update Date | 2021-12-10 |