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 |