NPI | 1659865723 |
---|---|
Former Name | MELISSA A PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7144) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2018-06-21 |
Last Update Date | 2023-03-31 |