| NPI | 1265873319 |
|---|---|
| Other Name | KATIE LYNN BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 38733) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MT 100818) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-05-06 |