| NPI | 1609868298 |
|---|---|
| Former Name | THERESA G. SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-06471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN152359 NP) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-02-11 |