NPI | 1518478627 |
---|---|
Former Name | LISA FRYDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 148-LD) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2021-01-27 |