NPI | 1144862749 |
---|---|
Former Name | VICTORIA PAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD005344) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |