| NPI | 1811227549 |
|---|---|
| Former Name | MEGAN ELIZABETH SMIDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164005000) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-11-03 |