| NPI | 1538639232 |
|---|---|
| Former Name | TERESA MARIE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.429136) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-04-21 |