| NPI | 1093145419 |
|---|---|
| Former Name | TERESA LONG-CRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18151) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158895) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |