NPI | 1679863971 |
---|---|
Former Name | SARAH L GAJEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 2432) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: VA 1011500) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2014-10-28 |