| NPI | 1740864271 |
|---|---|
| Former Name | TAMARA JEAN JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018405) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 706703) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-02-06 |