NPI | 1104567601 |
---|---|
Former Name | MORGAN BOKER-PORPORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86171608) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 10696) |
133V00000X Dietitian, Registered (Licence: NY 011063) | |
Enumeration Date | 2022-04-06 |
Last Update Date | 2024-06-06 |