| NPI | 1255303970 |
|---|---|
| Former Name | TERESA PHYLLIS FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52284) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 104028) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-03-07 |