NPI | 1730730649 |
---|---|
Former Name | TIFFANY TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011037) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4918) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2025-05-01 |