NPI | 1043483993 |
---|---|
Former Name | KATHLEEN M DECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CO 13069) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |