| NPI | 1770067217 |
|---|---|
| Former Name | MOLLY GRACE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0033962) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-09-26 |