| NPI | 1962128140 |
|---|---|
| Former Name | STEPHANIE N ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10226577) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-04-21 |