| NPI | 1598121154 |
|---|---|
| Former Name | TERESA MARAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015769) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2019-01-30 |