NPI | 1891047940 |
---|---|
Former Name | JILL MICHELLE RAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: CA 888122) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |