| NPI | 1164954038 |
|---|---|
| Former Name | TIFFANY DOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 88064) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: CO DR0061746) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-06-23 |