| NPI | 1376230193 |
|---|---|
| Former Name | CHARLOTTE REBECCA BEALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: TN 3412) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 86083622) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |