NPI | 1962530840 |
---|---|
Former Name | DANA MARIA SUSZKIW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 667852) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD 131) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2014-05-05 |