| NPI | 1619675147 |
|---|---|
| Former Name | MEGAN JANEEN PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 954519) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 2079-79) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |