| NPI | 1134930365 |
|---|---|
| Former Name | TERESA ROSE HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 320207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A182817) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-03-05 |