NPI | 1396019543 |
---|---|
Former Name | TIFFANY A BOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M9690) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M9690) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2014-10-14 |