| NPI | 1720419393 |
|---|---|
| Former Name | JESSICA ANN HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.006090) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 164.006090) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164.006090) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-10-29 |