| NPI | 1730612573 |
|---|---|
| Former Name | TIFANI BRINEGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60615642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 818761) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |