| NPI | 1053450387 |
|---|---|
| Former Name | JOANN BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 001492) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-03-20 |