NPI | 1902172562 |
---|---|
Former Name | LUCINDA MARIE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1798) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 289) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2019-12-03 |