| NPI | 1225398134 |
|---|---|
| Former Name | TERESE TETZLAFF TYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 84481-30) |
| Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control (Licence: WI 84481-30) |
| 163WX0106X Registered Nurse, Occupational Health (Licence: WI 84481-30) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |