| NPI | 1154076602 |
|---|---|
| Former Name | TAJMA CLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406084) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 612357-01) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-09-13 |