| NPI | 1396570925 |
|---|---|
| Former Name | TANESHA NICOLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0041835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.443035) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2026-03-31 |