| NPI | 1093142754 |
|---|---|
| Former Name | TIFFANY J FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010752) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-05-02 |