| NPI | 1568659118 |
|---|---|
| Former Name | TIFFANY R HEHMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50003777) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000963A) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085003049) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-01-04 |