NPI | 1750727012 |
---|---|
Former Name | NICOLE L ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2396-29) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005957) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2023-08-14 |