| NPI | 1881029007 |
|---|---|
| Former Name | MEAGHAN ROSE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00308500) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016624) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2016-10-23 |