NPI | 1841678786 |
---|---|
Former Name | BRIANNE C. GOHLKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2728-29) |
Additional Taxonomies | 171400000X |
Enumeration Date | 2015-05-12 |
Last Update Date | 2025-02-18 |