NPI | 1861883639 |
---|---|
Former Name | TIFFANI ANN ARTHUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 19416) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 170494) |
Enumeration Date | 2015-02-14 |
Last Update Date | 2022-12-12 |