NPI | 1891273991 |
---|---|
Former Name | AMY BAUMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD.588) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 0588) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2019-02-18 |