| NPI | 1437330297 |
|---|---|
| Former Name | TERESA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 3694) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3694) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2016-09-16 |