| NPI | 1013300607 |
|---|---|
| Former Name | KRISTA SHAWRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164.005557) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2021-02-01 |