| NPI | 1639763337 |
|---|---|
| Former Name | MICHELLE VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: CA 1053921) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |