| NPI | 1801274782 |
|---|---|
| Former Name | JILL A. TERESHKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN253292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 253292) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2018-04-19 |