| NPI | 1982931077 |
|---|---|
| Former Name | HEATHER MICHELLE HIBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 1173) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003473) |
| 133V00000X Dietitian, Registered (Licence: VT 074.0134239) | |
| 133V00000X Dietitian, Registered (Licence: MA 3613) | |
| 133V00000X Dietitian, Registered (Licence: CT 59.001195) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2022-11-10 |