| NPI | 1124254123 |
|---|---|
| Former Name | TIFFANY E STURGEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 332359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR0052648) |
| 208000000X Pediatrics (Licence: CO DR0052648) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-12-14 |