| NPI | 1881300580 |
|---|---|
| Former Name | TAMARA SUZANNE CAPIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13521-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13521-33) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-04-11 |