NPI | 1003579954 |
---|---|
Former Name | HALEY ASHLYN STRAIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 110625) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2021-10-18 |
Last Update Date | 2024-03-18 |