| 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 |