| NPI | 1356368351 |
|---|---|
| Former Name | TERESA L MCNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A92828) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A92828) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-03-14 |