| NPI | 1457782724 |
|---|---|
| Former Name | NICOLE COOPERRIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 1088318) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2318) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |