| NPI | 1104114321 |
|---|---|
| Former Name | KRISTAN ELLEN EDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-03-25 |