NPI | 1134843212 |
---|---|
Former Name | REBECCA JOY THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86176876) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 3397) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2022-10-03 |