NPI | 1083775365 |
---|---|
Former Name | PATRICIA GAIL PROSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: CA 017009) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2022-02-11 |