NPI | 1114453099 |
---|---|
Former Name | KINDRA LEANN SPOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OR 1308212) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-01-14 |