NPI | 1679587729 |
---|---|
Former Name | LAUREN ANTONE WISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 0000001447) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 002370) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-08-11 |