| NPI | 1245714195 |
|---|---|
| Former Name | BRITTNI DIANE SPROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 86014339) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: IN 86014339) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |