NPI | 1174169197 |
---|---|
Former Name | TAMI ANN BREUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0236) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2019-11-25 |
Last Update Date | 2024-02-26 |