| NPI | 1871901686 |
|---|---|
| Former Name | STEPHANIE E MASTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 1982) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |