NPI | 1013320118 |
---|---|
Former Name | TIFFANY D KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.16150) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV APRN70833-CRNA) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2021-09-09 |