| NPI | 1538241096 |
|---|---|
| Former Name | TIFFANY A HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 27027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00043424) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-07-30 |