| NPI | 1407045107 |
|---|---|
| Former Name | DIANE LYNNETTE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L000710) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L000710) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC 000710) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2015-09-14 |