| NPI | 1801924030 |
|---|---|
| Former Name | TIFFANY DANIELLE SCHAIBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2008-01160) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 127288) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-08-03 |