NPI | 1588311468 |
---|---|
Former Name | MEGHAN MARSICO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006692) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2022-03-09 |
Last Update Date | 2022-05-17 |