NPI | 1225497126 |
---|---|
Former Name | CRYSTAL MICHELLE CASCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86050249) |
133V00000X Dietitian, Registered (Licence: NY 009044-1) | |
Enumeration Date | 2016-02-19 |
Last Update Date | 2022-07-07 |