NPI | 1053797977 |
---|---|
Former Name | KATHLEEN RUTH SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008304) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.011910) |
133V00000X Dietitian, Registered (Licence: RI LDN01513) | |
133V00000X Dietitian, Registered (Licence: KY 297582) | |
133V00000X Dietitian, Registered (Licence: FL ND 7419) | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2025-06-12 |