| NPI | 1669477048 |
|---|---|
| Former Name | BRIGITTE L SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 01350) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1772) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-07-21 |