| NPI | 1730939794 |
|---|---|
| Former Name | TIFFANY D FLEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 227945) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 227945) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-15 |