| NPI | 1285013789 |
|---|---|
| Former Name | TIFFANY LEE UPSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: UT 8406954-5701) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |