NPI | 1932813086 |
---|---|
Former Name | ALEXANDRIA GOLD TATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 33196) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2330499) |
163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TN 236533) | |
Enumeration Date | 2023-01-12 |
Last Update Date | 2025-07-01 |