| NPI | 1386226736 |
|---|---|
| Former Name | TERESA LYNN KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 29249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 29249) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-04-12 |