| NPI | 1275917882 |
|---|---|
| Former Name | STACIE VANESSA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83743) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT83743) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-11-30 |