NPI | 1831505650 |
---|---|
Former Name | AISLYNN SAGE PACCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005417) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2014-07-02 |
Last Update Date | 2023-10-23 |