NPI | 1518020254 |
---|---|
Doing Business As | MICHELLE HOOVER |
Entity Type | Organization |
Authorized Contact | MICHELLE DENISE HOOVER Registered Dietitian 618-334-0402 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2001023440) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 164003233) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2018-12-19 |