| NPI | 1871127514 |
|---|---|
| Former Name | TIFFANI ROQUE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 764609) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2025-02-09 |