| NPI | 1962904722 |
|---|---|
| Former Name | JELLIRICA TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP136929) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-03-01 |