NPI | 1780113019 |
---|---|
Former Name | SERENA COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 1525) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2017-06-09 |
Last Update Date | 2023-02-14 |