| NPI | 1285915801 |
|---|---|
| Former Name | TABITHA COLBATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARPN9249781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9249781) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2022-08-03 |