NPI | 1912146465 |
---|---|
Former Name | JULIA ELIZABETH HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN269639) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 269639) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2011-11-16 |