NPI | 1265738827 |
---|---|
Former Name | TIFFANY A BLOOMFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704234404) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2011-01-31 |