NPI | 1730351859 |
---|---|
Former Name | TIFFANY LYNN GABEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 83397) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 5499) |
Enumeration Date | 2008-03-28 |
Last Update Date | 2024-08-27 |