| NPI | 1861636300 |
|---|---|
| Former Name | TIFFANY PATRICE CALLAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2012-01170) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2021-08-25 |