| NPI | 1033569330 |
|---|---|
| Former Name | NICHOLE SNYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86053094) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 86053094) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-04-05 |