| NPI | 1053347708 |
|---|---|
| Former Name | JENNIFER ANN BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042.0013111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD071873L) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-07-29 |