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 |