| NPI | 1003262981 |
|---|---|
| Former Name | TIFFANY PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R094961) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0992536) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-07-23 |