NPI | 1477795110 |
---|---|
Former Name | CHRISTINE N MATTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7133) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 001853) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2021-11-01 |