NPI | 1184345191 |
---|---|
Former Name | JORIA VALENE WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10222347) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H7985) |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-09-07 |