NPI | 1285059907 |
---|---|
Former Name | LEIGH ELLEN RUTH LASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004527) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 3568) |
133V00000X Dietitian, Registered (Licence: MA 3568) | |
133N00000X Nutritionist (Licence: NC L004527) | |
Enumeration Date | 2014-03-04 |
Last Update Date | 2015-12-01 |