NPI | 1023178928 |
---|---|
Former Name | MARY GRACE SUCHOLET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000554-1) |
Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: NY 000554-1) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-08-23 |