NPI | 1972742260 |
---|---|
Former Name | TINA YOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003273) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN003273) |
136A00000X Dietetic Technician, Registered (Licence: PA 926114) | |
Enumeration Date | 2009-02-11 |
Last Update Date | 2017-11-01 |