| NPI | 1033711486 |
|---|---|
| Former Name | KATHLEEN ADELE ANDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: TX DT83784) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |