| NPI | 1235895970 |
|---|---|
| Former Name | TERESA MARIE COX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 110038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 53154) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WV 110038) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-08-16 |