NPI | 1407527484 |
---|---|
Former Name | ABIGAIL LEIGH REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |