NPI | 1699717801 |
---|---|
Former Name | DEBRA JANE WERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA 647250) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN000974) |
133N00000X Nutritionist (Licence: PA 647250) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-06-30 |