| NPI | 1437456480 |
|---|---|
| Former Name | TIFFANI RENEE REAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS14624) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2016-03-14 |