NPI | 1104004043 |
---|---|
Former Name | CAROLYN BOICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 124752) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2075) |
133V00000X Dietitian, Registered (Licence: TN 1685) | |
Enumeration Date | 2008-02-01 |
Last Update Date | 2024-03-28 |