| NPI | 1093446957 |
|---|---|
| Other Name | MARY TIFFANY DARA CERENECHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95019956) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |