| NPI | 1861038234 |
|---|---|
| Former Name | THERESIA TABE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: TX 939880) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |