NPI | 1255959136 |
---|---|
Former Name | ERICA ROSE SMOLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 86150168) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86150168) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2022-01-05 |