| NPI | 1447586276 |
|---|---|
| Former Name | TIFFANY ANN HINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054039) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054039) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2014-01-17 |