NPI | 1558870329 |
---|---|
Former Name | TERESA ANN STEVERMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11017893) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5428) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2023-01-16 |