| NPI | 1477184018 |
|---|---|
| Former Name | JORDAN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NE 1470) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IA 110956) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-09-28 |