NPI | 1184227431 |
---|---|
Former Name | ANISSA ALCAZAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 91146) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MT 91146) |
Enumeration Date | 2020-11-19 |
Last Update Date | 2021-02-08 |