| NPI | 1841766581 |
|---|---|
| Other Name | TINA NEWSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201519) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139410) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2025-01-07 |