NPI | 1447545884 |
---|---|
Former Name | TIFFANY BELL VINET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.144267) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 71905) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2023-10-16 |