| NPI | 1013383421 |
|---|---|
| Former Name | TONYA PUTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 129677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 758397) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-12-05 |