NPI | 1033661525 |
---|---|
Former Name | CHRISTINA MARIE CROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2197) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 304) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2020-01-30 |