| NPI | 1235727975 |
|---|---|
| Former Name | NICHOLE RUTH PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: D-1214) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-08-24 |