| NPI | 1205580701 |
|---|---|
| Other Name | THEOPHILUS MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95029519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023392) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-12-12 |