NPI | 1073944492 |
---|---|
Former Name | MISTY LEHE MULLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD002340) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002340) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 1250) | |
133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: GA LD002340) | |
Enumeration Date | 2013-12-11 |
Last Update Date | 2023-06-06 |