| NPI | 1750823795 |
|---|---|
| Former Name | TIFFANY EFANTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006816A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28199198A) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-07-21 |