| NPI | 1205935004 |
|---|---|
| Former Name | TERESE AILEEN O'NEIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NM R36675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM CNP00790) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-01-17 |