NPI | 1659911626 |
---|---|
Former Name | SANDRA LIAN RUAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NC 86024294) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86024294) |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-01-08 |