| NPI | 1740644970 |
|---|---|
| Former Name | PENNI BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 69691) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 0069691) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-02-22 |