NPI | 1275950289 |
---|---|
Former Name | ANN E SWANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2110) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 1087281) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2016-10-11 |