NPI | 1063022440 |
---|---|
Former Name | AUBREY MARIE GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2575) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1831) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2024-04-18 |