NPI | 1861647372 |
---|---|
Former Name | APRIL LYNN VAN SICKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 00948754) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 2783) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2019-01-07 |