NPI | 1962579128 |
---|---|
Former Name | MICHELE M BRENNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: NJ 09810244) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 817201) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-07-08 |