| NPI | 1619100724 |
|---|---|
| Former Name | TIFFANY DENISE DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.401141) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN134792) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-11-05 |