NPI | 1467858993 |
---|---|
Former Name | SAMANTHA N PATTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY BDNDTN00221252) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83315) |
Enumeration Date | 2014-11-11 |
Last Update Date | 2015-07-29 |