| NPI | 1992011316 |
|---|---|
| Former Name | TIFFANY COUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 085559) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 183953) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2016-04-01 |