| NPI | 1184761397 |
|---|---|
| Former Name | KATHLEEN MARY BRENNAN MACAPAGAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 201150024NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: OR 200441798RN) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-07-30 |