| NPI | 1346693330 |
|---|---|
| Former Name | ALEXANDRA OWEN BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1044183) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9356168) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-07-18 |