| NPI | 1568110435 |
|---|---|
| Former Name | FELISHA PAIGE MCGOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 50186437) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-08-19 |