| NPI | 1194258236 |
|---|---|
| Former Name | LAUREN ALEXIS SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 3236) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004697) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |