| NPI | 1962153924 |
|---|---|
| Former Name | TERESA R BALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61335691) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-08-02 |