| NPI | 1477379923 |
|---|---|
| Former Name | JULIE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10253) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 942295) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-03-14 |