| NPI | 1083099188 |
|---|---|
| Former Name | TIFFANY JEAN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128419) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2021-09-30 |