NPI | 1033371786 |
---|---|
Former Name | CRYSTAL ANN GIERSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1262) |
Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: KS 1262) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2020-04-01 |