| NPI | 1831388636 |
|---|---|
| Former Name | STACEY MARIE LAVOIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: AK 234) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OR 841) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-06-04 |