NPI | 1255904512 |
---|---|
Former Name | MARA DA LUZ OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: CA 86033078) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86033078) |
Enumeration Date | 2021-07-22 |
Last Update Date | 2023-09-20 |