| NPI | 1669781340 |
|---|---|
| Former Name | JENNIFER CHRISTIN WICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 945225) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL LD2101) |
| 133V00000X Dietitian, Registered (Licence: GA LD002620) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2017-02-07 |