| NPI | 1104219138 |
|---|---|
| Former Name | KRISTY BALZAFIORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L003079) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |