| NPI | 1649636382 |
|---|---|
| Former Name | TIFFANY URREGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP23029) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-12-16 |