NPI | 1831124858 |
---|---|
Other Name | TIFFANY HARADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0011393) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012584) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2017-04-06 |