NPI | 1659665545 |
---|---|
Former Name | LAURA MARGARET ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: ID D-315) |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: ID D-315) |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: ID D-315) | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2019-11-06 |