| NPI | 1598819591 |
|---|---|
| Former Name | LINDA SUE CLARK (MAIDEN NAME) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: IA 01624) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IA 01624) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IA 01624) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IA 01624) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |