| NPI | 1003680125 |
|---|---|
| Former Name | TIFFANY AMBER TAGGART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 230675) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AR R107327) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-11-05 |