| NPI | 1710256607 |
|---|---|
| Former Name | TIFFANY MIU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 2011014127) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2023-05-02 |