| NPI | 1619103504 |
|---|---|
| Former Name | ALLISON BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2007028946) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.004747) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2024-06-12 |