NPI | 1598832396 |
---|---|
Former Name | TIFFANY L SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5060P) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KY 5060P) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2015-05-06 |