| NPI | 1477843472 |
|---|---|
| Former Name | TIFFANY L WULLSCHLEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-75333-071) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2011008571) |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2011008571) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2012-12-11 |