| NPI | 1558652263 |
|---|---|
| Former Name | BRENDA K RENGSTORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 165115-7) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2024-01-04 |