| NPI | 1831132406 |
|---|---|
| Former Name | TIFFANY C HIRSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12149) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16777) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-07-28 |