NPI | 1780312678 |
---|---|
Former Name | CHRISTIN DEMOUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NJ 961340) |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-08-10 |