| NPI | 1629945316 |
|---|---|
| Other Name | JACKIE DIKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: IN 37003176A) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |