NPI | 1205239407 |
---|---|
Former Name | PAGE CARRERE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT83443) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2024-06-26 |