NPI | 1053642256 |
---|---|
Former Name | JOY LYNN ARCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 7555040-4901) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10116) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2021-06-16 |