NPI | 1770607699 |
---|---|
Former Name | KIM OBERIST RICHMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: R595056) |
Enumeration Date | 2007-03-17 |
Last Update Date | 2007-07-08 |