| NPI | 1427724970 |
|---|---|
| Former Name | TINA MICHELLE PREECE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 110117) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |