NPI | 1295862126 |
---|---|
Former Name | TERESA MARIE LOTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007639) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 103285) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2101) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 832818) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-03-17 |