NPI | 1811290687 |
---|---|
Former Name | LOIS FISHKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000363-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005582) |
133V00000X Dietitian, Registered (Licence: FL ND9152) | |
Enumeration Date | 2010-12-16 |
Last Update Date | 2023-12-01 |