| NPI | 1780767756 |
|---|---|
| Former Name | TERESA ANN TULLOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2930142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2930142) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-03-30 |