NPI | 1821856634 |
---|---|
Former Name | FARREN MONTANA CRANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 5123) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 3847) |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-06-12 |