NPI | 1659625564 |
---|---|
Former Name | TERESA DANGAR HARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1496) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 087690-23) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2023-02-16 |