| NPI | 1114536380 |
|---|---|
| Former Name | SIERAH LAMAE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AZ 86104198) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-11-19 |