| NPI | 1710416235 |
|---|---|
| Former Name | TIFFANY DAWN HOLLIBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO APN.0993182-NP) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-12-27 |