NPI | 1639301070 |
---|---|
Former Name | TIFFANIE SHAY BASILE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9178406) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9178406) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2020-03-24 |