| NPI | 1720390990 |
|---|---|
| Former Name | TIFFANY WEMHANER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4957) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP60351441) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2023-07-10 |