| NPI | 1841504883 |
|---|---|
| Former Name | STEPHANIE ANN ULRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AK DTND82) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: AK DTN 82) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: AK DTN 82) | |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: AK DTN 82) | |
| 133N00000X Nutritionist (Licence: AK DTN 82) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: AK DTN 82) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-10-15 |