NPI | 1194719922 |
---|---|
Former Name | TERRI MCCART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000989) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000989B) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2020-12-17 |