| NPI | 1144584897 |
|---|---|
| Former Name | TERESA RENEE GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000016740) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2017-05-11 |