| NPI | 1073556411 |
|---|---|
| Former Name | TERESA A. GREENQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1940972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30317) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-05-08 |