| NPI | 1538736350 |
|---|---|
| Former Name | THERESA L PALMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11060-033) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WI 1716711) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-04-27 |