| NPI | 1285047233 |
|---|---|
| Former Name | TIFFANY LYNN CLEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN280202) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2016-07-19 |