| NPI | 1629547898 |
|---|---|
| Former Name | TERESA DAWN HERRING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139551) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2024-05-03 |