| NPI | 1689608523 |
|---|---|
| Former Name | LAURA CHRISTINE BUKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3055) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: ND 763) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-03-15 |