| NPI | 1861869703 |
|---|---|
| Former Name | JACKLINE B TABE -AYUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212748) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN212748) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2019-05-06 |