| NPI | 1982478848 |
|---|---|
| Former Name | SARA NICOLE TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS 2149) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MS 2149) |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MS 2149) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MS 2149) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |