| NPI | 1942581095 |
|---|---|
| Former Name | TONYA MONIQUE BRAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007120) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2021-03-07 |