NPI | 1184420846 |
---|---|
Other Name | TIFFANY BLUE-DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 224450) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK R0132298) |
Enumeration Date | 2025-02-24 |
Last Update Date | 2025-08-11 |