NPI | 1356773089 |
---|---|
Former Name | ALEXIS L. HERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1556) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006010) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2019-11-08 |