| NPI | 1891102018 |
|---|---|
| Former Name | JESSICA KOEPPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000678) |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-05-02 |