NPI | 1730704297 |
---|---|
Former Name | SADIE JO HITSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 86143729) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2020-06-10 |
Last Update Date | 2025-07-30 |