| NPI | 1083965347 |
|---|---|
| Former Name | THERESA WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 142059) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2023-11-06 |