NPI | 1720641822 |
---|---|
Former Name | TIFFANY JOY SINCLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 6419) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.074945) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2025-10-10 |