| NPI | 1659822831 |
|---|---|
| Other Name | TERRI SELF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APIM-912071) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |