| NPI | 1194078204 |
|---|---|
| Former Name | COLLEEN BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704268565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704268565) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704268565) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2016-03-02 |