NPI | 1669944534 |
---|---|
Former Name | TIFFANY WING-YIU MA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010475) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95073170) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-09-11 |