NPI | 1922821958 |
---|---|
Former Name | MEREDITH DARA ZONDAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1554) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 129448) |
133V00000X Dietitian, Registered (Licence: MN 5484) | |
Enumeration Date | 2024-11-07 |
Last Update Date | 2024-11-20 |