| NPI | 1023405677 |
|---|---|
| Former Name | TIFFANY LE'SHANN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R7320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 303712) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-03-27 |