NPI | 1851393433 |
---|---|
Former Name | THERESE J. HARDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 109065) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP1054) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2022-10-11 |