| NPI | 1356365563 |
|---|---|
| Former Name | TIFFANY CHRISTINA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20084) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20084) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-22 |