| NPI | 1922277490 |
|---|---|
| Former Name | CAROL ANN CONKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 648286) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT00759) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2014-02-05 |