| NPI | 1912520040 | 
|---|---|
| Former Name | JOYCE HARRISON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014701)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 57047)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010386A)  | |
| Enumeration Date | 2020-05-23 | 
| Last Update Date | 2020-09-21 |