| NPI | 1336288679 |
|---|---|
| Former Name | TERESA ANNE MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN293519L) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-08-20 |