| NPI | 1649422965 |
|---|---|
| Former Name | TIFFANY A LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A107137) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-02-11 |