NPI | 1386227817 |
---|---|
Former Name | ABIGAIL CHRISTINE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 3620) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 287382) |
133V00000X Dietitian, Registered (Licence: FL ND9965) | |
Enumeration Date | 2021-05-03 |
Last Update Date | 2024-06-19 |