NPI | 1114640752 |
---|---|
Former Name | ALLISON GREY NAGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1010) |
Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: AR 1010) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |