| 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 |