| NPI | 1316244130 |
|---|---|
| Former Name | TIFFANY LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 306677) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00346500) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2015-05-28 |