NPI | 1619124989 |
---|---|
Former Name | TIFFANY R PINKERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4677) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4677) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2023-03-21 |