| NPI | 1548038128 |
|---|---|
| Former Name | LAURA LINEBACK BALOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NC L005837) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |