NPI | 1326483025 |
---|---|
Former Name | JENNIFER S STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 1011780) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MO 11245264) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2013-05-08 |