| NPI | 1952817397 |
|---|---|
| Former Name | TERESA MARIE LINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007683A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28145560A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007683A) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-12-15 |