| NPI | 1356796262 |
|---|---|
| Former Name | TERRI BASKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 904130) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 21186) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-02-07 |