| NPI | 1447140082 |
|---|---|
| Former Name | THERESA MARIE HARDESTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 902925) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |