| NPI | 1366155061 |
|---|---|
| Former Name | TABITHA MARIE PFAFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71013426A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71013426A) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-04-06 |