| NPI | 1003843525 |
|---|---|
| Former Name | TIFFANY SANDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10005100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 0119850) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-10-18 |