| NPI | 1811233992 |
|---|---|
| Former Name | MARISSA DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD 7102) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH 7102) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OH 7102) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |