NPI | 1013950716 |
---|---|
Former Name | MARILYN ANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 637378) |
Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: AK 308) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2014-09-23 |