NPI | 1205208477 |
---|---|
Former Name | PAIGE LAUREN CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-43500) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005709) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2024-03-19 |