| NPI | 1215283445 |
|---|---|
| Former Name | BRENDA A SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 835) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD..5535) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |