| NPI | 1295435717 |
|---|---|
| Former Name | ASHLEY RYAN WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164007798) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2016013025) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |