NPI | 1598465031 |
---|---|
Former Name | CAITLYN R BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6769) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MA 6769) |
Enumeration Date | 2023-03-03 |
Last Update Date | 2023-11-21 |