NPI | 1003206822 |
---|---|
Former Name | MELISSA HENSZEY BLEAKNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 863658) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 353) |
Enumeration Date | 2015-02-01 |
Last Update Date | 2015-04-13 |