| 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 |