| NPI | 1790910503 |
|---|---|
| Other Name | TIFFANY MALLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NC07963600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR07963600) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2013-11-27 |