| NPI | 1962881326 |
|---|---|
| Former Name | NICOLE SANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 999075) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 999075) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-05-20 |