| NPI | 1851037725 |
|---|---|
| Former Name | TIFFANY PRANIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025303) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP025303) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-05-23 |