| NPI | 1437603743 |
|---|---|
| Former Name | MELISSA LOU JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003876) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L003876) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-10-07 |