NPI | 1962921908 |
---|---|
Former Name | NICOLE ZINTAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 326308) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 86099924) |
Enumeration Date | 2017-09-11 |
Last Update Date | 2022-07-21 |