| NPI | 1619663614 |
|---|---|
| Former Name | COLLEEN MARIE HERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-0011081) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN008017) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-06-25 |