| NPI | 1558436774 |
|---|---|
| Former Name | TIFFANY D. PURCELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC000410) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD AC000410) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-01-31 |