Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 1143 | NM |
NPI | 1598436396 |
---|---|
Provider Name | Judith Lynne Scher |
First Address | Santa Fe, NM 87505-3426 |
Second Address | Santa Fe, NM 87505-3426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2021 |
Last Update Date | 22/09/2021 |