| NPI | 1902635402 |
|---|---|
| Former Name | ANGELA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CO APN.1000023-NP) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |