| NPI | 1780787937 |
|---|---|
| Former Name | TERESA R SEXE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015019127) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2001014226) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-08-03 |