NPI | 1497215982 |
---|---|
Former Name | JANETTE SUE MCMILLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 913470) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-12-13 |