NPI | 1346408390 |
---|---|
Former Name | MARY SIDWELL BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT01529) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2016-12-13 |