| NPI | 1275096034 |
|---|---|
| Former Name | TEALE DENAE ANDREASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13099) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112010) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-08-27 |