NPI | 1669046918 |
---|---|
Former Name | LAURA J STITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT90819) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN007258) |
133V00000X Dietitian, Registered | |
Enumeration Date | 2021-05-19 |
Last Update Date | 2024-08-21 |