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 |