NPI | 1700088341 |
---|---|
Former Name | JENNIFER M SLONSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 959741) |
Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: MA 949741) |
133N00000X Nutritionist (Licence: MA 2583) | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2015-03-10 |