NPI | 1568172062 |
---|---|
Former Name | ELIZABETH NICOLE RANISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1066515) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 1066515) |
Enumeration Date | 2022-11-25 |
Last Update Date | 2022-11-25 |