| NPI | 1851416622 |
|---|---|
| Former Name | TIFFANY A. GEAHIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08285) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 1125) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-05-06 |