| NPI | 1457841397 |
|---|---|
| Former Name | TIFFANY LEFEBRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA221939) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-11-06 |