| NPI | 1952818502 |
|---|---|
| Former Name | CRYSTAL THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 00988663) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 00988663) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2025-09-05 |