NPI | 1235396631 |
---|---|
Other Name | TAMMI W PLANTAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005477) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2301) |
103TC0700X Psychologist, Clinical (Licence: NC 2301) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2012-01-18 |