NPI | 1932639473 |
---|---|
Former Name | REBECCA GRACE BENEVIDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164007682) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005810) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2019-03-14 |