| NPI | 1487191268 |
|---|---|
| Former Name | AMY CAROLYN TIFFANY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 77876) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2020041080) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-11-22 |