NPI | 1073028163 |
---|---|
Former Name | LINDSAY DOMINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 132700000X Dietary Manager (Licence: PA DN007018) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86078048) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2020-06-22 |