| NPI | 1649933177 |
|---|---|
| Other Name | TIFFANY RAYE ACKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2186375) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2022-07-19 |