| NPI | 1326586892 |
|---|---|
| Other Name | TIFFANY MARIE LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |