NPI | 1922672716 |
---|---|
Former Name | JESSALYN RIFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09297) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2021-05-17 |
Last Update Date | 2024-10-17 |