| NPI | 1124059308 |
|---|---|
| Former Name | KAREN L. BRENNEISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005170) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-06-23 |