| 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 | 2025-04-28 |