NPI | 1790336048 |
---|---|
Former Name | MELISSA LYNN RICHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2019028295) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4882) |
133V00000X Dietitian, Registered (Licence: IL 164.007836) | |
Enumeration Date | 2019-09-26 |
Last Update Date | 2024-05-07 |