| NPI | 1063996189 |
|---|---|
| Former Name | TIFFANY ATIR FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704252951) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704252951NSA18974) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2022-11-17 |