| NPI | 1265887012 |
|---|---|
| Former Name | TIFFANY LOUISE SAMPY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08711) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2023-10-15 |