NPI | 1841595808 |
---|---|
Former Name | RACHEL LUCIA WYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: ME DI1522) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2973) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2022-05-23 |