NPI | 1780120097 |
---|---|
Former Name | TERESA FERRICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R055430) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2019-09-16 |