NPI | 1982094660 |
---|---|
Former Name | REBECCA LIA MEADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 002167) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 1115) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-09-15 |