| NPI | 1447462411 |
|---|---|
| Other Name | BAILEY MARTIN KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD002614) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002614) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-07-24 |