| NPI | 1013641430 |
|---|---|
| Former Name | KELLI STARR MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006181) |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NC L006181) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-02-23 |