| NPI | 1790925345 |
|---|---|
| Former Name | TIFFANY ELIZABETH GARNSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WI 3064-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013168) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-07-21 |