| NPI | 1679739957 |
|---|---|
| Former Name | TIFFANY IRENE MALLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A125004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054158) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2014-01-30 |