| NPI | 1588997407 |
|---|---|
| Former Name | HEATHER HELENA TELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA #19023#646731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19023) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2012-02-02 |