NPI | 1679303531 |
---|---|
Former Name | BRITTANY VAN TINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: IL 164.009762) |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-08-06 |