| NPI | 1184960767 |
|---|---|
| Former Name | TIFFANY LEIGH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201392745CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60327805) |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2019-01-28 |