NPI | 1598780546 |
---|---|
Other Name | TIFFANY EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 36781) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 36781) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2014-10-14 |