| NPI | 1508507856 |
|---|---|
| Professional Name | TINA L THACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025735) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA RN635595) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-06-30 |