NPI | 1104020817 |
---|---|
Other Name | TIFFANY S OWENS-PEGUES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2019-02715) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 21797) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2024-09-17 |