| NPI | 1548014368 |
|---|---|
| Former Name | TIFFANY BARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351052579) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-05-02 |