| NPI | 1104233212 |
|---|---|
| Former Name | MELISSA ANNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 879827) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2004023272) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |