NPI | 1235643040 |
---|---|
Former Name | MEGAN M BOGEMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37003189A) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86081427) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2020-12-10 |