NPI | 1174087605 |
---|---|
Former Name | ANNIE L BERTRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 998682) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: SD 0358) |
133V00000X Dietitian, Registered (Licence: ND 1066) | |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |