| NPI | 1407297575 |
|---|---|
| Former Name | TIFFANY N NESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 61382-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 4775-850) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-09-16 |