| NPI | 1720306459 |
|---|---|
| Former Name | THERESA L MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3644) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP3644) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2023-11-13 |