| NPI | 1942565379 |
|---|---|
| Former Name | COURTNEY ERIN HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08933) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008143) |
| 363A00000X Physician Assistant (Licence: NY 023015734) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2021-10-04 |