NPI | 1275812174 |
---|---|
Former Name | BRITTANY ELIZABETH TELLIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: MA 3060) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2015-09-09 |