NPI | 1790421816 |
---|---|
Former Name | ALIA MORGAN BURLEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86047627) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 009524) |
133V00000X Dietitian, Registered (Licence: PA DN007674) | |
133V00000X Dietitian, Registered (Licence: NC L006951) | |
133V00000X Dietitian, Registered (Licence: TN 4288) | |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-07-25 |