NPI | 1407452873 |
---|---|
Former Name | TAMI CAPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113501) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NE 70646) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 2203) | |
Enumeration Date | 2020-12-10 |
Last Update Date | 2023-06-15 |