| NPI | 1053746164 |
|---|---|
| Former Name | STEPHANIE CHEKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1605) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004069) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-07-23 |