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 |