| NPI | 1740664366 |
|---|---|
| Former Name | PHILICIA A TEAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704270576) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704270576) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-09-28 |