NPI | 1295382554 |
---|---|
Professional Name | CAROL MULLIGAN TEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020717) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020717) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2020-08-30 |