NPI | 1730610098 |
---|---|
Former Name | TIFFANY HAKALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T6605) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-27 |
Last Update Date | 2022-06-01 |