| NPI | 1891114005 |
|---|---|
| Former Name | KIMBERLY SUZANNE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0061302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60671187) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-06-14 |