| NPI | 1306173646 |
|---|---|
| Former Name | TERESA MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101038855) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2024-10-28 |