| NPI | 1639542665 |
|---|---|
| Former Name | BETHANY MICHELLE MOTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1685) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004464) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-03-21 |