| NPI | 1316124209 |
|---|---|
| Former Name | HEIDI MARIE FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1828) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002975) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2013-07-01 |