| NPI | 1497529010 |
|---|---|
| Former Name | TONYA SUZETTE TAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 35082) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-29 |