NPI | 1841918901 |
---|---|
Former Name | TABITHA ROSE JEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN F12200017) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997997-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 2022066864) | |
Enumeration Date | 2022-08-16 |
Last Update Date | 2024-11-06 |