NPI | 1053765404 |
---|---|
Former Name | CAROL ANN CAPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 709045) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 259) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |