| NPI | 1770854481 |
|---|---|
| Former Name | TIFFANY HOLLIDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R881126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06738) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-12-12 |