| NPI | 1609178987 |
|---|---|
| Former Name | TERESA LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006732) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005686A) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2025-05-22 |