NPI | 1326379033 |
---|---|
Former Name | JEAN MARIE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1633-29) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 833283) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2020-12-01 |