| NPI | 1477311710 |
|---|---|
| Other Name | TERESA D ANTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28544) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 216967) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-09-23 |