| NPI | 1255763488 |
|---|---|
| Former Name | TIFFANY K GARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 18412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18412) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2022-01-18 |