| NPI | 1447740220 |
|---|---|
| Former Name | CARLY NICOLE TRULOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 2842) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-08-13 |