| NPI | 1275126617 |
|---|---|
| Former Name | TERESA ANN KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 380425) |
| 163W00000X Registered Nurse (Licence: ND R51285) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R51285) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3015595) | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2024-12-18 |