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 |