| NPI | 1992727416 |
|---|---|
| Other Name | TIFFANY K WORMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ NJDCATEMP-007343) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-01-16 |