| NPI | 1386949626 |
|---|---|
| Former Name | TIFFANY S LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704295814) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.12174-NA) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2023-11-03 |