| NPI | 1912374992 |
|---|---|
| Former Name | COURTNEY WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004300) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN LDN0000003764) |
| 133V00000X Dietitian, Registered (Licence: NC L005326) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-02-25 |