NPI | 1750317707 |
---|---|
Former Name | ELYSA FAITH SILBERSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 931147) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005725) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2020-02-04 |