NPI | 1225807191 |
---|---|
Former Name | MADELINE VYLETEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1401X Dietitian, Registered Nutrition, Pediatric Critical Care |
Additional Taxonomies | 133VN1401X Dietitian, Registered Nutrition, Pediatric Critical Care |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |