| NPI | 1740783901 |
|---|---|
| Former Name | TIFFANY TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11533) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP11533) |
| 207Q00000X Family Medicine (Licence: TX 1180858) | |
| 207Q00000X Family Medicine (Licence: VA 0024191829) | |
| 207Q00000X Family Medicine (Licence: MN 12752) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2025-10-12 |