| NPI | 1053422246 |
|---|---|
| Former Name | TERESA BLACKWELL MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP30007233) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-08 |