| NPI | 1649851684 |
|---|---|
| Former Name | CAROLINE M WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 3172) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005429) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |