NPI | 1104801844 |
---|---|
Former Name | THERESA L HARRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024165377) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: DC RN61810) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2013-01-08 |