NPI | 1326416132 |
---|---|
Former Name | COLLEEN ABBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3887) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD DX3887) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2019-12-03 |