NPI | 1144748765 |
---|---|
Former Name | HALEIGH FLOTTMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 86035177) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4166) |
Enumeration Date | 2017-09-04 |
Last Update Date | 2019-05-01 |