| NPI | 1528401452 |
|---|---|
| Former Name | TIFFANY ESTHER DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 305081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305081) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2020-10-21 |