| NPI | 1013993336 |
|---|---|
| Former Name | TIFFANY A. THIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-109127) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-04-09 |