| NPI | 1124200159 |
|---|---|
| Former Name | TATIANA NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 667943) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2015-09-12 |