| NPI | 1851723894 |
|---|---|
| Former Name | TIFFANY MARIE GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004446) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-004446) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-11-03 |