| NPI | 1346941135 |
|---|---|
| Former Name | TIFFANY ANN FLORES ORTEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IL 041516385) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95249440) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |