NPI | 1144726019 |
---|---|
Former Name | JESSICA ANN SOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60841895) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10190313) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OR LD-D-10190313) | |
174N00000X Lactation Consultant, Non-RN (Licence: OR LD-D-10190313) | |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2018-04-01 |
Last Update Date | 2022-08-09 |