| NPI | 1114437902 |
|---|---|
| Former Name | TAMARA ASHLEY LUNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017016071) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2008029631) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-03-04 |