| 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 |