| NPI | 1235918012 |
|---|---|
| Former Name | TIFFANY BARONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028986) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9340933) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-04-25 |