NPI | 1629679691 |
---|---|
Former Name | ALYSSA ANN BRENNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4541) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001168) |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2020-11-05 |
Last Update Date | 2025-07-28 |