NPI | 1003088436 |
---|---|
Former Name | KATHRYN LEIGH GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3556) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.003887) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2024-10-10 |