Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R223424 | MD |
NPI | 1013679570 |
---|---|
Provider Name | Francoise Sandrine Essama Tabe |
First Address | Waldorf, MD 20602-3174 |
Second Address | Washington, DC 20003-2528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2021 |
Last Update Date | 12/10/2021 |