NPI | 1699052704 |
---|---|
Former Name | JOYCE A NUESKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2593) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.00556) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2015-04-21 |