NPI | 1952411944 |
---|---|
Former Name | TIFFANY NICOLE LOWE-PAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 2010-00426) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2010-00426) |
207Q00000X Family Medicine (Licence: NJ 25MB07330000) | |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 2010-00426) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-04-06 |