NPI | 1740780733 |
---|---|
Former Name | NOELLE MARIE DESANTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 009292) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 009292) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2025-02-05 |