| NPI | 1508158288 |
|---|---|
| Former Name | KALIE NICOLE BRENNEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A14112) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63056) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-07-22 |