| NPI | 1972374320 |
|---|---|
| Former Name | KATHLEEN MARIE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD RO76502) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 9511404) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MN 5838) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA 60856968) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |