| NPI | 1215908637 |
|---|---|
| Former Name | BRENNA LYNNE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2016-02015) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD074318L) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 227861) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: RI MD12160) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-11-29 |