NPI | 1831496595 |
---|---|
Former Name | MELISSA IRENE GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3065) |
Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: MA 3065) |
Enumeration Date | 2011-02-16 |
Last Update Date | 2024-11-20 |