| NPI | 1083878813 |
|---|---|
| Former Name | LACIE E. BRENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 81622) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2013-01397) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-02-11 |