| NPI | 1053918607 |
|---|---|
| Former Name | TERESA ANA FELICIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11009542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009542) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-11-11 |