| NPI | 1124301197 |
|---|---|
| Former Name | TIFFANY KAY FERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 730852) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2021-12-07 |