| NPI | 1184911158 |
|---|---|
| Former Name | TERESA L BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008269A) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IN 28195388A) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-10-11 |