| NPI | 1497376685 |
|---|---|
| Former Name | TERESA LAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 64651) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 64651) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 64651) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-11-12 |