NPI | 1801030176 |
---|---|
Former Name | TIFFANY TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 08-1085) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 08-1085) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2019-01-13 |