| NPI | 1033412549 |
|---|---|
| Former Name | THERESA ANNE KONEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306932-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.008804) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9360704) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2015-02-03 |