| NPI | 1881378503 |
|---|---|
| Former Name | MARY MICHELLE HICIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 6101-69918) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 6101-69918) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |