| NPI | 1922517853 |
|---|---|
| Former Name | PAIGE MICHELE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 918650) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-11-19 |