NPI | 1306401815 |
---|---|
Former Name | CHELSEA NICOLE GOODSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7261) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 390200000X) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-08-08 |