| NPI | 1528275864 |
|---|---|
| Former Name | TIFFANY J AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A138522) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101249185) |
| 207T00000X Neurological Surgery (Licence: DC MD041720) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-09-22 |