| NPI | 1265528954 |
|---|---|
| Former Name | TERESA LYNNE NOLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 24807) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.24807) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-05-27 |