NPI | 1336161728 |
---|---|
Former Name | KAREN RENEE MELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: OK 1078) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 863590) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2007-07-09 |