NPI | 1801411285 |
---|---|
Former Name | ALLYSON D CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89515) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 86148450) |
Enumeration Date | 2020-06-11 |
Last Update Date | 2024-02-07 |