| NPI | 1093091910 |
|---|---|
| Former Name | TIFFANI ANN OHRT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04957) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: KS 1501497) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2024-01-07 |