| NPI | 1063853653 |
|---|---|
| Former Name | TIFFANY LYNN MINNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA0020173) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN622212) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-11-18 |