| NPI | 1700254125 |
|---|---|
| Former Name | ABIGAEL BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4399) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0004381) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-01-20 |