| NPI | 1750044376 |
|---|---|
| Former Name | TRISTAN K ALLDREDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011652A) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-04-20 |