NPI | 1437855806 |
---|---|
Former Name | TOBBIE MICHELL LARCART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 229511) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN107169) |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-03-08 |