NPI | 1821484080 |
---|---|
Former Name | TIFFANY WESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 303945) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 303945) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-12-05 |