NPI | 1972808079 |
---|---|
Former Name | JAMIE M. RANDOLPH-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-098811) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008647) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2022-03-07 |