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