NPI | 1083250864 |
---|---|
Other Name | TABITHA NYABOKE OPANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11296) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379573-072) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2020019972) | |
Enumeration Date | 2019-11-27 |
Last Update Date | 2024-11-05 |