| NPI | 1649635665 |
|---|---|
| Professional Name | TATUM DAVID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016367) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 805751) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2021-01-22 |