NPI | 1003245218 |
---|---|
Former Name | TIFFANY SHEA RIBORDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP124774) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 720968) |
363LN0000X Nurse Practitioner, Neonatal (Licence: TX 720968) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2024-04-15 |