NPI | 1235159484 |
---|---|
Former Name | TERESA M HARDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60113471) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60113471) |
363LF0000X Nurse Practitioner, Family (Licence: NY F334353) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2025-03-20 |