NPI | 1598276123 |
---|---|
Former Name | ASHLEY GELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11206) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT90521) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2024-07-15 |