| NPI | 1992568604 |
|---|---|
| Former Name | JACQUELIN NEELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 1004701) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |