| NPI | 1275006074 |
|---|---|
| Former Name | SUREN KANCHANAVALEERAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.007568) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.007568) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2020-01-16 |