| NPI | 1760223507 |
|---|---|
| Former Name | TIFFANI AMBER DUNAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-173995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-173995) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-09-10 |