NPI | 1235536293 |
---|---|
Former Name | TINA MARIE BONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND11044) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND11044) |
133V00000X Dietitian, Registered (Licence: IL 164.000203) | |
133V00000X Dietitian, Registered (Licence: FL ND11044) | |
Enumeration Date | 2014-11-19 |
Last Update Date | 2024-03-06 |