NPI | 1336676782 |
---|---|
Former Name | TERESA LYNN FIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A109975) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209033021) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2025-09-12 |