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 | 363LF0000X Nurse Practitioner, Family (Licence: NY F334353) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-12-09 |