NPI | 1669727137 |
---|---|
Former Name | TIFFANY FREEMAN-SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131281) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 914084) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2024-12-17 |