NPI | 1245232909 |
---|---|
Former Name | KIMBERLY M SWEDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164004052) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2004029302) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-07-08 |